Mythbusters: PBM Edition

February 10, 2026

In an industry as traditionally opaque as pharmacy benefit management (PBM), it can be difficult to get a clear answer on how this business works. For instance, you may know that PBMs play a critical role in managing prescription drug benefits, but beyond that, things start to get hazy. So we’re here to clarify the truth about PBMs.

A three‑row infographic comparing PBM myths to facts.
Row 1: Myth—“PBMs always save you money.” Fact—Different models vary; traditional PBMs may add hidden costs, while pass‑through models return all rebates.
Row 2: Myth—“Rebates are passed directly to clients.” Fact—Many PBMs keep some or all rebates.
Row 3: Myth—“Transparency means complexity.” Fact—Clear, upfront pricing gives plan sponsors more control.

As you can see, so many answers about this industry depend on the model being used and the PBMs themselves. You can learn more about those models in our blog post: PBM 101: The Three PBM Business Models

But if you’re ready for a partner who doesn’t leave you with any questions, let us show you how we apply our decades of dedication to clarity in every aspect of our business. Reach out to [email protected]

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